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RED RIVER SPINE ASSOCIATES PC NPI 1467571745


NPI Information

NPI: 1467571745
Provider Name: RED RIVER SPINE ASSOCIATES, PC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
2829 UNIVERSITY DR S
SUITE 201
FARGO, ND
ZIP 58103
Phone: (701) 280-0057
Get Directions

RED RIVER SPINE ASSOCIATES, PC is a neuromusculoskeletal medicine sports medicine in Fargo, ND. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ RED RIVER SPINE ASSOCIATES, PC NPI is 1467571745. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2829 UNIVERSITY DR S
SUITE 201
FARGO, ND
ZIP 58103-050
Phone: (701) 280-0057
Fax: (701) 365-0086

The provider's authorized official is Scott E Turner .
The authorized official title is Provider and has the following contact phone number (701) 280-0057.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 2/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine5781NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CS9503OTHERNORTH DAKOTARR MEDICARE
217106MEDICAIDNORTH DAKOTA
359680200MEDICAIDMINNESOTA
44474OTHERND BLUE SHIELD
5E46359MEDICARE UPINNORTH DAKOTA
6N70279MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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